Formulation of recombinant Lactococcus lactis as an oral vaccine candidate for COVID-19
DOI:
https://doi.org/10.46542/pe.2024.249.614Keywords:
Bacterial viability, Cryoprotectant, Freeze-drying, Lactococcus lactis, TabletAbstract
Background: Lactococcus lactis is a promising oral vaccine carrier. However, to improve the stability of the bacteria, the freeze-drying method and formulation need to be optimised.
Objective: To develop a formulation of oral recombinant food-grade Lactococcus lactis as a candidate oral vaccine for coronavirus disease 2019 (COVID-19).
Method: To preserve bacteria during storage, a combination of skim milk, trehalose, and sucrose concentrations was adjusted. The impacts of the freeze-drying procedure were investigated using a bacterial viability test, and bacterial morphology was assessed using scanning electron microscopy. Bacteria produced from the freeze-drying technique were combined with excipients to create granules, tablets, and capsules. After one month of storage, the bacterial viability of each product was assessed after one-month storage in 4°C and 25°C, and physicochemical testing was conducted on each product.
Results: The cryoprotectant formula containing 8% of skim milk and 7.5% of sucrose protected the bacteria the most from the freeze-drying process. The tablets and capsules complied with current specifications, including disintegration test, tablet hardness, capsule weight uniformity, and bacteria viability.
Conclusion: Among the products, tablets stored for one month at 4°C had the best bacterial viability. This study demonstrated the potential to develop and administer an easy-to-use oral COVID-19 vaccine candidate using L. lactis.
References
Ahmed, S. F., Quadeer, A. A., & McKay, M. R. (2020). Preliminary identification of potential vaccine targets for the COVID-19 Coronavirus (SARS-CoV-2) Based on SARS-CoV Immunological Studies. Viruses, 12(3). https://doi.org/10.3390/v12030254
Alderborn, G., & Ahlneck, C. (1991). Moisture adsorption and tabletting. III. Effect on tablet strength-post compaction storage time profiles. International Journal of Pharmaceutics, 73(3), 249–258. https://doi.org/10.1016/0378-5173(91)90417-M
Bermúdez-Humarán, L. G., Aubry, C., Motta, J. P., Deraison, C., Steidler, L., Vergnolle, N., Chatel, J. M., & Langella, P. (2013). Engineering lactococci and lactobacilli for human health. Current Opinion in Microbiology, 16(3), 278–283. https://doi.org/10.1016/j.mib.2013.06.002
Byl, E., Bladt, P., Lebeer, S., & Kiekens, F. (2019). Importance of pressure plasticity during compression of probiotic tablet formulations. European Journal of Pharmaceutics and Biopharmaceutics, 145, 7–11. https://doi.org/10.1016/j.ejpb.2019.10.001
Chen, B., Wang, X., Li, P., Feng, X., Mao, Z., Wei, J., Lin, X., Li, X., & Wang, L. (2023). Exploring the protective effects of freeze-dried Lactobacillus rhamnosus under optimised cryoprotectants formulation. Lwt, 173(August 2022), 114295. https://doi.org/10.1016/j.lwt.2022.114295
Chen, C., Haupert, S. R., Zimmermann, L., Shi, X., Fritsche, L. G., & Mukherjee, B. (2022). Global prevalence of post-Coronavirus Disease 2019 (COVID-19) condition or long COVID: A meta-analysis and systematic review. The Journal of Infectious Diseases, 226(9), 1593–1607. https://doi.org/10.1093/infdis/jiac136
Chuang, L. C., Huang, C. S., Ou-Yang, L. W., & Lin, S. Y. (2011). Probiotic Lactobacillus paracasei effect on cariogenic bacterial flora. Clinical Oral Investigations, 15(4), 471–476. https://doi.org/10.1007/s00784-010-0423-9
Convention, T. U. S. P. (2012). USP 35: United States Pharmacopeia and the National Formulary (USP 35 - NF 30). In Rockville (MD).
Dhama, K., Sharun, K., Tiwari, R., Dadar, M., Malik, Y. S., Singh, K. P., & Chaicumpa, W. (2020). COVID-19, an emerging coronavirus infection: Advances and prospects in designing and developing vaccines, immunotherapeutics, and therapeutics. Human Vaccines and Immunotherapeutics, 16(6), 1232–1238. https://doi.org/10.1080/21645515.2020.1735227
Elliott, G. D., Wang, S., & Fuller, B. J. (2017). Cryoprotectants: A review of the actions and applications of cryoprotective solutes that modulate cell recovery from ultra-low temperatures. Cryobiology, 76, 74–91. https://doi.org/10.1016/j.cryobiol.2017.04.004
Gisela, G., Leonardo, A. E., Lucia, P., Rodrigo, V., Eduard, G., & Angeles, C. M. (2014). Enhancement of the viability of Lactobacillus plantarum during the preservation and storage process based on the response surface methodology. Food and Nutrition Sciences, 05(18), 1746–1755. https://doi.org/10.4236/fns.2014.518188
Guo, L., Zhang, F., Wang, S., Li, R., Zhang, L., Zhang, Z., Yin, R., Liu, H., & Liu, K. (2022). Oral immunisation with an M cell-targeting recombinant L. lactis vaccine LL-plSAM-FVpE stimulate protective immunity against H. pylori in Mice. Frontiers in Immunology, 13(July), 1–13. https://doi.org/10.3389/fimmu.2022.918160
Hansen, L. J. J., Daoussi, R., Vervaet, C., Remon, J. P., & De Beer, T. R. M. (2015). Freeze-drying of live virus vaccines: A review. Vaccine, 33(42), 5507–5519. https://doi.org/10.1016/j.vaccine.2015.08.085
Her, J. Y., Kim, M. S., & Lee, K. G. (2015). Preparation of probiotic powder by the spray freeze-drying method. Journal of Food Engineering, 150, 70–74. https://doi.org/10.1016/j.jfoodeng.2014.10.029
How, Y. H., & Yeo, S. K. (2021). Oral probiotic and its delivery carriers to improve oral health: A review. Microbiology (United Kingdom), 167(8). https://doi.org/10.1099/mic.0.001076
Hu, J., Chen, X., Lu, X., Wu, L., Yin, L., Zhu, L., Liang, H., Xu, F., & Zhou, Q. (2022). A spike protein S2 antibody efficiently neutralises the Omicron variant. Cellular and Molecular Immunology, 19(5), 644–646. https://doi.org/10.1038/s41423-022-00847-4
Jouki, M., Khazaei, N., Rezaei, F., & Taghavian-Saeid, R. (2021). Production of symbiotic freeze-dried yoghurt powder using microencapsulation and cryopreservation of L. plantarum in alginate-skim milk microcapsules. International Dairy Journal, 122, 105133. https://doi.org/10.1016/j.idairyj.2021.105133
Ma, C., Li, G., Chen, W., Jia, Z., Yang, X., Pan, X., Ma, D., Mataragas, M., Song, J., Zhao, L., & Song, M. (2020). A Lactococcus lactis-vectored oral vaccine induces protective immunity of mice against enterotoxigenic Escherichia coli lethal challenge. Immunology Letters, 225, 57–63. https://doi.org/10.1016/j.imlet.2020.06.007
Mancha-Agresti, P., Drumond, M. M., Carmo, F. L. R. Do, Santos, M. M., Santos, J. S. C. Dos, Venanzi, F., Chatel, J.-M., Leclercq, S. Y., & Azevedo, V. (2017). A new broad range plasmid for DNA delivery in eukaryotic cells using lactic acid bacteria: In vitro and in vivo assays. Molecular Therapy - Methods & Clinical Development, 4, 83–91. https://doi.org/10.1016/j.omtm.2016.12.005
Mohseni, A. H., Sedigheh Taghinezhad, S., & Keyvani, H. (2020). The first clinical use of a recombinant Lactococcus lactis expressing human Papillomavirus Type 16 E7 oncogene oral vaccine: A phase I safety and immunogenicity trial in healthy women volunteers. Molecular Cancer Therapeutics, 19(2), 717–727. https://doi.org/10.1158/1535-7163.MCT-19-0375
Namai, F., Shigemori, S., Ogita, T., Sato, T., & Shimosato, T. (2020). Microbial therapeutics for acute colitis based on genetically modified Lactococcus lactis hypersecreting IL-1Ra in mice. Experimental and Molecular Medicine, 52(9), 1627–1636. https://doi.org/10.1038/s12276-020-00507-5
Ng, K. T., Mohd-Ismail, N. K., & Tan, Y. J. (2021). Spike s2 subunit: The dark horse in the race for prophylactic and therapeutic interventions against sars-cov-2. Vaccines, 9(2), 1–12. https://doi.org/10.3390/vaccines9020178
Nishihara, T., Suzuki, N., Yoneda, M., & Hirofuji, T. (2014). Effects of Lactobacillus salivarius-containing tablets on caries risk factors: A randomised open-label clinical trial. BMC Oral Health, 14(1), 1–7. https://doi.org/10.1186/1472-6831-14-110
Oluwatosin, S. O., Tai, S. L., & Fagan-Endres, M. A. (2022). Sucrose, maltodextrin and inulin efficacy as a cryoprotectant, preservative and prebiotic – towards a freeze-dried Lactobacillus plantarum topical probiotic. Biotechnology Reports, 33, e00696. https://doi.org/10.1016/j.btre.2021.e00696
Prichard, J. E. (1884). The British pharmacopoeia. British Medical Journal, 2(1238), 586. https://doi.org/10.1136/bmj.2.1238.586-c
Quintana, I., Espariz, M., Villar, S. R., González, F. B., Pacini, M. F., Cabrera, G., Bontempi, I., Prochetto, E., Stülke, J., Perez, A. R., Marcipar, I., Blancato, V., & Magni, C. (2018). Genetic engineering of Lactococcus lactis co-producing antigen and the mucosal adjuvant 3’ 5’- cyclic di Adenosine Monophosphate (c-di-AMP) as a design strategy to develop a mucosal vaccine prototype. Frontiers in Microbiology, 9, 1–12. https://doi.org/10.3389/fmicb.2018.02100
Shotton, E., & Rees, J. E. (1966). The compaction properties of sodium chloride in the presence of moisture. Journal of Pharmacy and Pharmacology, 18(1), 160S–167S, https://doi.org/10.1111/j.2042-7158.1966.tb07979.x
Rothan, H. A., & Byrareddy, S. N. (2020). The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. Journal of Autoimmunity, February, 102433. https://doi.org/10.1016/j.jaut.2020.102433
Saleena, L. A. K., Teo, M. Y. M., How, Y. H., In, L. L. A., & Pui, L. P. (2022). Immunomodulatory action of Lactococcus lactis. Journal of Bioscience and Bioengineering, 135(1), 1‒9. https://doi.org/10.1016/j.jbiosc.2022.10.010
Santos, A. F., Gaspar, P. D., & de Souza, H. J. L. (2021). Refrigeration of COVID-19 vaccines: Ideal storage characteristics, energy efficiency and environmental impacts of various vaccine options. Energies, 14(7), 1849. https://doi.org/10.3390/en14071849
Sierra-Vega, N. O., Romañach, R. J., & Méndez, R. (2019). Feed frame: The last processing step before the tablet compaction in pharmaceutical manufacturing. International Journal of Pharmaceutics, 572, 118728. https://doi.org/10.1016/j.ijpharm.2019.118728
Smith, T. R. F., Patel, A., Ramos, S., Elwood, D., Zhu, X., Yan, J., Gary, E. N., Walker, S. N., Schultheis, K., Purwar, M., Xu, Z., Walters, J., Bhojnagarwala, P., Yang, M., Chokkalingam, N., Pezzoli, P., Parzych, E., Reuschel, E. L., Doan, A., … Broderick, K. E. (2020). Immunogenicity of a DNA vaccine candidate for COVID-19. Nature Communications, 11(1), 1–13. https://doi.org/10.1038/s41467-020-16505-0
Suzuki, C., Aoki-Yoshida, A., Aoki, R., Sasaki, K., Takayama, Y., & Mizumachi, K. (2017). The distinct effects of orally administered ig-G and Lactococcus lactis subsp. lactis C59 on gene expression in the murine small intestine. PLoS ONE, 12(12), 1–18. https://doi.org/10.1371/journal.pone.0188985
Taghinezhad-S, S., Mohseni, A. H., Bermúdez-Humarán, L. G., Casolaro, V., Cortes-Perez, N. G., Keyvani, H., & Simal-Gandara, J. (2021). Probiotic-based vaccines may provide effective protection against COVID-19 acute respiratory disease. Vaccines, 9(5), 1–21. https://doi.org/10.3390/vaccines9050466
Tsang, H. F., Chan, L. W. C., Cho, W. C. S., Yu, A. C. S., Yim, A. K. Y., Chan, A. K. C., Ng, L. P. W., Wong, Y. K. E., Pei, X. M., Li, M. J. W., & Wong, S. C. C. (2021). An update on COVID-19 pandemic: The epidemiology, pathogenesis, prevention and treatment strategies. Expert Review of Anti-Infective Therapy, 19(7), 877–888. https://doi.org/10.1080/14787210.2021.1863146
Uddin, M. N., & Roni, M. A. (2021). Challenges of storage and stability of mRNA-based COVID-19 vaccines. Vaccines, 9(9), 1–9. https://doi.org/10.3390/vaccines9091033
Vishweshwaraiah, Y. L., & Dokholyan, N. V. (2022). Toward rational vaccine engineering. Advanced Drug Delivery Reviews, 183, 114142. https://doi.org/10.1016/j.addr.2022.114142
Vorländer, K., Kampen, I., Finke, J. H., & Kwade, A. (2020). Along the process chain to probiotic tablets: Evaluation of mechanical impacts on microbial viability. Pharmaceutics, 12(1). https://doi.org/10.3390/pharmaceutics12010066
Wang, G., Chen, Y., Xia, Y., Song, X., & Ai, L. (2022). Characteristics of probiotic preparations and their applications. Foods, 11(16). https://doi.org/10.3390/foods11162472
Yurina, V. (2018). Live bacterial vectors—A promising DNA vaccine delivery system. Medical Sciences, 6(2), 27. https://doi.org/10.3390/medsci6020027
Yurina, V., Rahayu Adianingsih, O., & Widodo, N. (2023). Oral and intranasal immunisation with food-grade recombinant Lactococcus lactis expressing high conserved region of SARS-CoV-2 spike protein triggers mice’s immunity responses. Vaccine: X, 13, 1–13. https://doi.org/10.1016/j.jvacx.2023.100265
Yuste, A., Arosemena, E. L., & Calvo, M. À. (2021). Study of the probiotic potential and evaluation of the survival rate of Lactiplantibacillus plantarum lyophilised as a function of cryoprotectant. Scientific Reports, 11(1), 1–8. https://doi.org/10.1038/s41598-021-98723-0
Zhai, K., Zhang, Z., Liu, X., Lv, J., Zhang, L., Li, J., Ma, Z., Wang, Y., Guo, H., Zhang, Y., & Pan, L. (2023). Mucosal immune responses induced by oral administration of recombinant Lactococcus lactis expressing the S1 protein of PDCoV. Virology, 578, 180–189. https://doi.org/10.1016/j.virol.2022.12.010